Senior Actuary - Medicare Advantage

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This actuarial leader is responsible for overseeing the development, validation, and delivery of key medical cost assumptions used in annual pricing and bid development for Individual Medicare Advantage. This role ensures all assumption models are completed accurately and delivered on time to the actuarial pricing team. The leader will collaborate closely with cross‑functional partners to confirm data integrity, review adjustments, and validate projection reasonability. In addition, the leader will ensure all medical cost assumptions are CMS compliant and account for regulatory changes. Operating with a high degree of autonomy, the individual will manage and coordinate work across a team of supporting actuaries, ensuring alignment, quality, and timely execution. Strong communication skills are essential, as this role regularly presents results, insights, and recommendations to actuarial and business leadership.

Required Qualifications

• Bachelor's degree along with 5+ years of actuarial experience
• Associate of the Society of Actuaries (ASA)
• Member of the American Academy of Actuaries (MAAA)
• Healthcare background
• Proficient in MS Excel
• Experience with SAS and SQL is desired
• Strong communication skills

Preferred Qualifications

• Experience with Medicare Advantage products
• Fellow of the Society of Actuaries

Education

• Bachelor's degree

Pay Range

The typical pay range for this role is:

$118,450.00 - $260,590.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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We anticipate the application window for this opening will close on: 03/27/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.